Please use this identifier to cite or link to this item:
http://ri.uaemex.mx/handle20.500.11799/109238| DC Field | Value | Language |
|---|---|---|
| dc.creator | Lourdes Abdhanary Blanco Esquivel | - |
| dc.creator | Jorge Maciá Ubierna | - |
| dc.creator | Hugo Mendieta Zerón | - |
| dc.date | 2016-09 | - |
| dc.date.accessioned | 2022-04-21T06:02:47Z | - |
| dc.date.available | 2022-04-21T06:02:47Z | - |
| dc.identifier | http://hdl.handle.net/20.500.11799/109238 | - |
| dc.identifier.uri | http://ri.uaemex.mx/handle20.500.11799/109238 | - |
| dc.description | Background: Severe obstetric morbidity constitutes a serious problem worldwide; however, an effective obstetrical prognosis scale is still missing. Objective: To propose a modified Sequential Organ Failure Assessment Score (SOFA) score based on time before reaching specialized medical attention. Method: This was an ambispective, descriptive study, including all women treated at the Obstetrical Intensive Care Unit (OICU) of the “Mónica Pretelini Sáenz” Maternal-Perinatal Hospital (HMPMPS), Toluca, Mexico, from June 2009 to June 2013. The patient’s SOFA score and clinical evolution were registered daily. A modified obstetrical SOFA scale was constructed adjusting the value of 180 instead of 200 in the punctuation column of 3 for the PaO2/FiO2 ratio and adding a file of disease evolution time with sepsis prior to reaching specialized medical attention. Results: Two hundred thirty two patients, with an average age (SD) of 26.42 (±7.54) years, mean gestational age of 33 (±7.5) weeks were included in the study; 118 suffered from pre-eclampsia, 56 obstetric haemorrhages, 41 eclampsia (25 preceded by pre-eclampsia) and 23, sepsis. ROC curves showed a higher area under the curve (AUC) for the modified SOFA (0.868; p<0.001) than SOFA (0.796; p=0.003), in the prediction of maternal mortality. Conclusions: The SOFA score, taking into account a lower value for the Kirby index and a threshold time of 12-h with sepsis before getting specialized medical attention, shows a good predictive value for maternal death and could be considered for evaluating the severity of complicated obstetrical patients. | - |
| dc.language | eng | - |
| dc.publisher | Ghana Medical Association | - |
| dc.relation | 50 | - |
| dc.relation | 3 | - |
| dc.rights | info:eu-repo/semantics/openAccess | - |
| dc.rights | http://creativecommons.org/licenses/by-nc-nd/4.0 | - |
| dc.source | 0016-9560 | - |
| dc.subject | Obstetric | - |
| dc.subject | Prognosis scale | - |
| dc.subject | SOFA | - |
| dc.subject | info:eu-repo/classification/cti/3 | - |
| dc.title | Approach to an obstetric prognosis scale: The modified SOFA scale | - |
| dc.type | article | - |
| dc.audience | students | - |
| dc.audience | researchers | - |
| item.grantfulltext | none | - |
| item.fulltext | No Fulltext | - |
| Appears in Collections: | Producción | |
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